Tuberculosis of the Vault of the Skull

Abstract

1. Three cases of tuberculosis of the vault of the skull are presented. 2. The skull lesion is secondary to a primary focus else-where in the body and it is suggested that specific treatment of the primary lesion is responsible to some extent for the apparently low incidence of skull involvement in areas where the overall occurrence of tuberculosis is still high. 3. The two forms of lesion which occur are discussed. The essentially similar nature of the underlying pathology in the two types is emphasised by their presence at the same time in one of the reported cases. 4. The rapid and almost complete reconstruction of bone which follows specific therapy is illustrated. Addendum Since completing this report we have seen a further four similar cases, all of which have shown a good response to chemotherapy.